Anterior Cruciate Ligament (ACL) injuries comprise some of the highest incidents in athletic injuries, comprising up to a total of 3-5% (1) with nearly 70% coming from non-contact mechanisms. (2,3) Moreover, these injuries can lead to loss of time on the field in around 88% of the time (1). There is a substantial difference in gender as well, with female athletes being of higher risk to sustain an ACL injury. (4, 5, 6) Overall, ACL injuries can lead to early sport terminaton in athletes as well as serious disabilities in the non-athletic population (7).(Siegel’s anatomy, physiology, and pathol….(29)) To provide measurements for safe reintroductions of the athletes to their respected sports, Standard Functional Tests (SFT) have been developed. (8,9,10) Most of these tests combined complex movements together to test and measure strength and neuromuscular control of athletes with activities that resemble athletic movements such as jumping, landing, and cutting. No universal accepted protocol exists to date (11), however, hop tests are the most common used in determining return to play follow ACL reconstruction (12) and have shown good reliability (13,14) and validity (14). Hop tests include single leg hop (SLH), triple hop (TH), cross over hop (COH), and timed hops (15). The single leg hop has been studied extensively and can help detect function limitations for up to 54 weeks postoperatively with good test-retest reliability. (16,17,18,19,20) It has also been shown to be
The magnitude of the problem is clear, as a high incidence of ACL injury, particularly in young athletes. Recent evidence suggests that more than half of athletes who undergo ACL surgery are unable to return to their preinjury level of function after ACLR surgery. Return to sports activities remains a very difficult topic. Thus the research regarding the rehabilitation process of athlete after
The foremost cruciate ligament (ACL) gives security and quality to the knee by averting front interpretation of the tibia under the femur and inordinate pivot through the knee it essentially keeps the knee from turning the distance around. The ACL is harmed amid running ball games, skiing, or bouncing game, so this is discovered more in more youthful grown-ups. It is frequently joined by damage to the average security ligament (MCL) and the average meniscus and that is known as a blown knee when you tear every one of the three. These mix wounds are connected with a higher commonness of radiographic osteoarthritis at 10-15 years, yet these patients demonstrate no distinctions in capacity contrasted with those with an detached ACL damage. The patient with an ACL break usually report a sudden sharp torment and precariousness amid rotating or a fast alter of course, or on effect, for example, a fall or handle. They additionally have heard or felt a thump as the joint separates or a snap of the muscle. On the off chance that there is intra articular muscle harm, the patient will report swelling (because of haemarthrosis). They might likewise give lost extent or development because of the torment and a sentiment unsteadiness on the weight bearing knee. The GP will watch, inspect the knee, screen and upgrade on swelling and emission. The foremost drawer tests the adaptability of the front ligament, Lachman test and the turn shift test are most normally used to test the strength of the knee joint. The level of crack or vicinity of different wounds can be affirmed by X-ray. Different ways while inspecting the patient in the event that they give atypically or abnormal amounts of torment are bone wound, microfractures, post-corner harm and tibial level breaks. All patients with suspected ACL wounds ought to see a physiotherapist inside of the initial two
The anterior cruciate ligament (ACL) has limited range of motion, which leads to it being the most frequently injured ligament singularly (Ireland, 1999). This study was conducted to present the epidemiology on ACL injuries in female athletes (Ireland, 1999). Epidemiology is the part of science that focuses on the causes, effects, and patterns of disease and health conditions that occur in specific populations. The epidemiology in this article focuses on female athletes that have had a noncontact ACL injury playing either basketball or soccer (Ireland, 1999).
Whenever an athlete participates in a sport, whether it be practice or a meet/game, they run the risk of injuring themselves. When it comes to basketball, Anterior Cruciate Ligament (ACL) injuries are common. ACL tears are more likely to occur in female basketball players as opposed to males. In basketball, speed, strength, and power are the most important physical qualities to develop. Sometimes an athlete may be lacking in certain areas which puts them at a greater risk for tearing their ACL.
The anterior cruciate ligament, more commonly known as ACL, is the most common knee ligament injury. An ACL injury mainly affects athletes or those participating in athletic activities. Over the years, sports have become more popular which has led to an increase in ACL injuries. This increase led orthopedic surgeons to create many operations over the past fifteen years that reconstruct this ligament.
With an ever increasing number of people becoming involved with athletic activities, there is an increasing number of injuries occurring which can be devastating for the individual. Most of the injuries that affect athletes occur in one of four structures in the human body: bones, muscles, tendons, or ligaments. Because ligaments attach bone to bone and play a major part in providing stability for joints, the major stabilizing ligament in the knee, the anterior cruciate ligament (ACL), assists in performing everyday actions of the human body including sitting, standing, walking, running, dancing, and participating in other sports. The injury that specifically affects this ligament is very serious and always
The cause of anterior cruciate ligament rupture will be discussed, as well as the most common autograft reconstruction options and the potential physiological and psychological effects of anterior cruciate ligament reconstruction.
2001, Withrow, Huston et al. 2006). Quadriceps inserts on the proximal-anterior part of tibia and isolated contraction of the muscle will cause anterior translation of tibia in relation to femur, putting strain on the ACL and possibly rupture the ligament (Renström, Arms et al. 1986, DeMorat, Weinhold et al. 2004, Withrow, Huston et al. 2006). Furthermore, landing and cutting manoeuvres produce abduction, adduction and rotational torques about the hip and knee (Besier, Lloyd et al. 2001). Without an opposing force to these torques the loaded leg(s) will be forced into the valgus position with the femur adducted and internally rotated, the tibia externally rotated and the knee abducted further increasing strain on the ACL (Markolf, Burchfield et al. 1995). Ireland (2002) has characterized this the position of no return, unassumingly because it habitations the stabilizing muscles of the knee in a mechanical disadvantage disabling them from re-establishing a sound posture. I should notate that several studies have associated this position of no return to an increased risk of knee injury. Female athletes exhibit increased knee valgus 6 movement patterns during landing and cutting activities compared to male athletes (Chappell, Yu et al. 2002, Ford, Myer et al. 2003, Zeller, McCrory et al. 2003, Olsen,
Female participation in competitive athletics has increased significantly in recent years. Compared to their male counterparts, they are at a 2 to 10 times greater risk for ACL injury (Edward et al, 2015, p. 368) There are two main mechanisms for an ACL injury: Contact, and non-contact. 70% of all reported ACL injuries are non-contact in nature, whereas the remaining 30% involve contact from an outside force such as an opposing player, a goalpost, or another object on the field or court (Silvers, 2009, p.83).
The Anterior Cruciate Ligament (ACL) of the knee is arguably one of the most notorious parts of the body in the sporting industry. When torn and repaired with surgery, it can leave an athlete out of play for up to 12 months if therapy is consistent over that time period1. There are several different ways to repair the ligament in order to regain functionality and recover stability. In any case, physical therapy plays a vital role in regaining these abilities and returning a person’s knee back to normal.
The most common ligamentous injury to the knee is injury to the anterior cruciate ligament (ACL) (Teske 2010), and it is the second most common injury in the lower extremity. It has become so common of an injury that 1 in 3000 individuals in the United States will be affected with an ACL tear (Micheo 2010) and there are 200,000 new cases per year (Wilk 2012). It is most commonly seen in people 15-30 years of age (Teske 2010). It is also more common in females than males (Fayad 2003, Teske 2010, Bowerman 2006). This is due to increased joint laxity in post-pubescent females compared to post-pubescent males (Bowerman 2006) and differences in muscle activation. Males tend to have a more balanced quadriceps to hamstrings ratio
Anterior cruciate ligament (ACL) injuries are the most common of knee injuries especially occurring during sports related activity. These types of injuries may lead to short-term disability and as well as possible long-term complications. It is estimated that 80,000 to 100,000 ACL reconstructions are performed every year and a significant percentage of those surgeries are performed on female athletes. Female athletes experience ACL injuries about two or three times more often than men due to how the female body matures and her strength, or lack thereof. Because of the wear on a healthy ACL, the ACL might not last an entire athletic career especially in women. Some of the risk factors are unavoidable, such as hormone changes and gender, but the neuromuscular and biomechanical factors are controllable. If a female athlete can be properly strength trained and takes the necessary precautions, like stretching for flexibility and core training for muscle control and balance, she can greatly reduce the risk of injuring her ACL. If she does not take the necessary precautions and does tear her ACL, surgery is required to replace the torn ACL and rehabilitation of that ligament is necessary before returning to sports (Hewett et al., 2012; Siegel et al., 2012). Despite the advances in surgery, the long-term
Injury of the ACL is now the most common ligamentous injury of the knee and accounts for about 30 injuries per 100,000 of the population (Irrgang, 1996). Over time it became apparent that multiple variables act in combination to influence ACL injury risk(Wojtys, 2003). Risk
This essay deals with the current treatments, rehabilitation procedures and onsets following anterior cruciate ligament (ACL) injuries. Within this essay, there will be information including the causes, characteristics, and symptoms of ACL injuries. Throughout the United States, there are estimated to be 200,000 ACL injuries per year with 100,000 of those injuries being treated through ACL reconstruction (Evans, Shaginaw, & Bartolozz, 2014). With a satisfactory ACL reconstruction outcome between 75%-97%. From the 10%-15% failure rate of ACL reconstruction, the primary fault is due to technical mistakes at 70% (Samitier, Marcano, Alentorn-Geli, Cugot, Former, & Moser,
The primary goals of rehabilitation of ACL reconstruction are to reduce inflammation, regain normal range of motion, recover neuromuscular strength and functional performance, and ultimately retrain the patient’s body to perform everyday activities once again. Superimposing NMES on a voluntary muscular contraction was shown to be more beneficial to the patient than utilizing a NMES or voluntary muscular contraction separately. Intensity and duration of the NMES treatments were important factors that influenced treatment outcomes as well as overall patient compliance when high stimulation levels were applied. There were two different means that NMES was administered, a traditional Polystim device with lead-wires and a Kneehab